Active NPI
Jonathan Tarquinio, FNP
- Family Medicine Physician
- New York, NY
National Provider Identifier
1083236830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 345664
- Practice address
- 1275 York Ave
New York, NY 10065-6007 - Phone
- (212) 639-2000
- NPI assigned
- May 15, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 345664 | NY | Primary |
Addresses
Primary practice location
1275 York Ave
New York, NY 10065-6007
Mailing address
345 Great Kills Rd
Staten Island, NY 10308-3514
Phone (718) 490-5094
Other practice location 1
675 3rd Ave Fl 5
New York, NY 10017-5731
Phone (212) 204-5172
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Tarquinj@mskcc.org | Memorial Sloan Kettering Cancer Center |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 345664 | NY | MD | Family Medicine Physician |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- jtarquinio38105@mskcc.direct-ci.com
- jtarquinio481499@nyumc.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1083236830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 GREAT KILLS RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103083514",
"telephone_number": "718-490-5094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 YORK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100656007",
"telephone_number": "212-639-2000"
}
],
"practiceLocations": [
{
"address_1": "675 3rd Ave Fl 5",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100175731",
"country_code": "US",
"telephone_number": "212-204-5172",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TARQUINIO",
"first_name": "JONATHAN",
"name_prefix": "Mr.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-15",
"last_updated": "2023-11-27",
"certification_date": "2020-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "345664",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Tarquinj@mskcc.org",
"affiliation": "Y",
"affiliationName": "Memorial Sloan Kettering Cancer Center",
"address_1": "1275 York Ave",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100656007",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.